- Adult Immunization
- Hepatology
- Pediatric Immunization
- Screening
- Psychiatry
- Allergy
- Women's Health
- Cardiology
- Pediatrics
- Dermatology
- Endocrinology
- Pain Management
- Gastroenterology
- Geriatrics
- Infectious Disease
- Obesity Medicine
- Rheumatology
- Oncology
- Nephrology
- Neurology
- Pulmonology
Lymphangiomas on a Patient's Foot
A 69-year-old man with a long history of lymphedema secondary to repeated cellulitis sought medical care for mildly pruritic, nontender, purple nodules that had erupted on the bottom and side of one foot 6 months earlier. Scale surrounded the nodules.
A 69-year-old man with a long history of lymphedema secondary to repeated cellulitis sought medical care for mildly pruritic, nontender, purple nodules that had erupted on the bottom and side of one foot 6 months earlier. Scale surrounded the nodules. Dr Reynold C. Wong of Sacramento, Calif, considered Kaposi sarcoma and lymphangiomas in the differential. Microscopic examination of a biopsy specimen revealed cystically dilated lymph vessels lined with a single layer of endothelium. The vessels contained a mixture of erythrocytes and lymph. These findings confirmed the diagnosis of lymphangiomas secondary to lymphedema. A large number of lymphangiomas in a localized area, such as this patient's foot, are associated with widespread lymphatic abnormality; therefore, surgical removal of the lesions is not effective therapy. The patient was advised to wear support stockings for the underlying lymphedema.
Research That Is Changing Endocrinology: Advances, Challenges, and The Future, with Irl B Hirsch, MD
April 3rd 2025ACP 2025: Irl B Hirsch, MD, reviewed findings from 8 papers published in 2024 that he believes have made or will make a difference in the practice or understanding of the clinical area.
